Weigle, Gordon Reese
Weigle, Gordon Reese is an individual health care provider with primary practice located at 880 W Moultrie St Ste 200 , Winnsboro SC 29180-2411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weigle, Gordon Reese can be contacted via phone (803) 635-6461.Contact Information
Primary practice address
880 W Moultrie St Ste 200
Winnsboro SC 29180-2411
Phone: (803) 635-6461
Fax: (803) 635-4200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | SC8901 | South Carolina |
Profile Details
| NPI number | 1093768616 |
|---|---|
| LBN Legal business name | Weigle, Gordon Reese |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Aug 23rd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093768616 | NPPES |
| South Carolina | MEDICAID | 089013 |
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